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ISSN 1405-0625 (Print)

2002, Number 1

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Cir Plast 2002; 12 (1)

Treatment of the Carpal Tunnel Syndrome in the “Dr. Manuel Gea González” General Hospital

Gutiérrez GC, Gargollo OC, Jiménez MY

Language: Spanish
References: 26
Page: 25-30
PDF size: 495.67 Kb.


ABSTRACT

The most frequent nervous compression in the upper extremity is median nerve compression at the carpal transverse ligament level. From 1929 when the first median nerve decompression at the carpal level was performed, a number of techniques have been described, some with minimum incisions or endoscopic procedure; this has given rise to controversy regarding the ideal technique. A retrospective study in patients of the plastic and reconstructive surgery unit of the “Dr. Manuel Gea Gonzalez” General Hospital, was carried out, integrating two groups: one with 61 cases treated with the traditional open technique and the other one with 62 cases treated with a minimal incisions technique. A prevalence in women in 95.5% against 4.5% in males was found. 80.4% were unilateral and 19.5% bilateral. Its relation with other entities such as Quervain disease or trigger finger, was 21% (trigger finger in 64.2%, Quervain disease in 25.9% and both in 10.7%). In the long-term results showed that the open technique has 16.3% with complications and that of minimum incisions 45.1%.


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